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Digitized by the Internet Archive 2016 in https://archive.org/details/delawaremedicalj6411medi DELAWARE MEDICAL JOURNAL Official Publication of the Medical Society of Delaware OLUME 64 JANUARY 1992 NUMBER 1 r HEALTH SCIENCES LIBRARY 'j UNIVERSITY OF MARYLAND BALTIMORE FEB 11 1992 REC'9. NOT IN CIRC. A If Time Equals Money, Pays it Spend to Wisely. it W he»toomanydemandsonyourtimekeepyou onebank, onecontact. Also, abankwithinabank, fromeffectivelyhandlingyourfinancialaffairs, itis our PrivateBankingDivisionoffersyouexclusiveaccess timeyou realizedtheadvantagesofaDelawareTrust toaspecialsuiteofoffices, alongwithyourownteller PrivateBanker. toassistinconduct- ingyourbanking DelawareTrustdevel- transactions. opedthefirst Private BankingDivision Weareatyourser- inthisregionovera viceanytimeofthe decadeago; provid- dayornight;wherever ingclientswiththe andwheneveryou utmostinsophisti- needus. In fact, we catedbankingservices arethereevenwhen andconfidentiality. youarenot. 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Where people make the difference” DELAWARE TRUST MemberFDIC ISSN0011-7781 DELAWARE VOLUME 64 JANUARY 1992 NUMBER 1 MEDICAL JOURNAL CONTENTS Official Publication ofthe Medical Society of Delaware S PRESIDENT'S PAGE Title 1925Lovering Avenue James P. Marvel, Jr., M.D. Wilmington, Delaware i9806*21Sb GRAND ROUNDS 13 What's New in PneumMonia John Reinhardt, D. SCIENTIFIC ARTICLES Editor 23 Toy-Smoot Laparoscopic Hernioplasty E. Wayne Marti, M.L* Frederick K. Toy, M.D., F.A.C.S., F.C.C.M. Associate Editor Roy T. Smoot, Jr., M.D., F.A.C.S. Virginia U. Collier, M.D, 29 Germbuster Brainteaser: A Novel Educational Tool Managing Editor Andrew Sirotnak, M.D. Laurel A. Haring Joel D. Klein, M.D. Stephen C. Eppes, M.D. GrandRounds Editor CANCER CURRENTS Virginia U. Collier, M.D. 33 Trends in Colorectal Cancer in Delaware Publication Committee Michael T. Brown, M.D. Virginia U. Collier, M.D. Robert W. Frelick, M.D. William J. Holloway, M.D. Allan Topham, ART, CTR Herbert J. Keating III, M.D. Allan Levy, D.O. 37 ON BEING A DOCTOR Harold G. Marks, M.D. CPR E. Wayne Martz, M.D. Clifton R. Cleaveland, M.D. JameS'H. Newman, M.D. Carol A. Tavani, M.D. 39 FROM THE AMA AMN Report: For 22 Years, Surgeon Wondered ifHe EditorialBoard Should Have Let Soldier Die in Vietnam Kim L. Carpenter, M.D. AMA Policy on Abortion John J. Chabalko, M.D. Martin J. Cosgrove, M.D. 41 LETTERS TO THE EDITOR Jerome Groll, M.D. Closing ofMedical Technology Program Untimely Herbert J. Keating III, M.D. Robert C. Knowles, M.D., Ph.D. Robert C. Knowles, M.D. JJaammeess FH..LNaellwym,aMn.,D.M.D. 43 OBITUARY Douglas Merrill Gay, M.D. Robert E. O'Connor, M.D. Leo W. Raisls, M.D. Norman L. Cannon, M.D. Bernhard Singsen, M.D. Robert J. Varipapa, M.D. 49 DPEROLCAEWEADRIENHGOSUOSFE OTFHEDEMLEEDGAITCEASL,SOCIEPTAYRTOF Dennis R. Witmer, M.D. 1991, I Business Manager 81 IN BRIEF Mark A. Meister 86 INDEX TO ADVERTISERS Enteredassecond-classmatterJune28,1929,atthePostOfficeatWilmington,Delaware,undertheactofMarch3, 1879 Issuedmonthly.Second-classpostagepaidat Wilmington,Delaware.Copyright1992bytheMedicalSocietyofDelaware Indexedin'HospitalLiteratureIndex'and'IndexMedicus.’AvailablethroughUniversityMicrofilms TheDelawareMedicalJournaldoeshotholditselfresponsibleforstatementsmadebyanycontributororadvertiser POSTMASTER:SendaddresschangestoDelaware MedicalJournal,1925LoveringAvenue,WilmingtonDE19806-2166.Annualsubscriptionratesare$20fordomesticand$25foroverseas.Singlecopiesare$2.50,Advertising copyisaccepted,subjecttotheapprovaltothePublicationCommitteeoftheMedicalSocietyofDelaware.Forinformationaboutadvertising,calltheJournalofficeat302/ 658-3957 Del Med Jrl, January 1992, Vol 64, No 1 Computers have become a vital part of the operation of a practice. Your system must be strong and reliable. Service and support must be available at a moment's notice. 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